DEPLOYED MILITARY EXEMPTION
APPLICATION
DR-501M
R. 5/12
Rule 12D-16.002
Florida Administrative Code
Eff. 11/12
Section 196.173, Florida Statutes
Due to the property appraiser by March 1.
Exemption on the homestead of servicemembers who were deployed last year outside the continental United
States, Alaska, or Hawaii in support operations designated by the Florida legislature.
If more than one owner of the homestead was deployed, complete a separate form for each deployed homesteader.
COMPLETED BY APPLICANT
Servicemember’s name
Spouse’s name
*Social security #
*Spouse’s social security #
Parcel ID, if known
County
Phone
Tax year 20
Homestead
address
Mailing
address,
if different
Designated operation(s) you were deployed to
Dates deployed last year:
From
/
/ 20
to
/
/ 20
for a total of
days
(outside the continental US, Alaska,
and Hawaii to a designated military
operation)
From
/
/ 20
to
/
/ 20
for a total of
days
Total days deployed:
I have attached proof of qualifying deployment. (Must include dates of the qualifying deployment)
I am applying after the deadline because: (Add documentation, if needed.)
(Field will expand online)
*Disclosure of your social security number is mandatory. It is required by s. 196.011(1)(b), F.S. The social security number will be used
to verify taxpayer identity and exemption information submitted to the property appraiser.
Signature
Signature is by
servicemember
Print name
spouse
Date
designee under Chapter 709, F.S.
Personal representative
If this application was filed on time and is denied, the property appraiser will send you a notice of disapproval (Form DR490) by July 1. You have the right to appeal the decision by filing a request for hearing (Form DR-486) with the Value
Adjustment Board in your county.
FOR USE BY PROPERTY APPRAISER’S OFFICE ONLY
Approved for
Denied or
Denied in part
days, proof of qualifying deployment and dates of deployment met the requirements.
Explain:
Late application
The reason for filing late was
accepted
rejected.
Signature, property appraiser or deputy
Calculation:
Days deployed
Date
/
365 Days in year
X
100
=
0.0 % exempted